- Post-dilatation was then performed at high pressure with a 3.75 x 12 mm NC Quantum Apex balloon.
- Final angiography demonstrated TIMI-3 flow, no dissections, and no residual stenosis in the left circumflex system.
- Rotational atherectomy allowed for substantial plaque modification that enabled successful balloon predilatation and stent deployment.
"I think this case demonstrates that it is important to have rotational atherectomy in your tool kit for cases where you do not get adequate predilatation or stent deployment. In this particular case, there was a very aggressive fibro-calcific plaque that was really resistant to even high pressure dilatation with a non-compliant balloon. We were able to do rotational atherectomy, which is a life-saver when you get in this kind of situation."